Mingming first came to AMC with an ulcerated intestinal mass that was causing her to be anemic. After initial hope that a series of blood transfusions could stabilize her for surgery, AMC clinicians realized her blood was incompatible with the blood on hand at AMC. Dr. Mariel Covo suspected that Mingming might have a rare blood type called “Dal-negative,” which turned out to be the case, but she needed surgery to remove the bleeding intestinal mass. Despite not having any compatible blood available, Mingming’s owner elected to go ahead with the delicate surgery to remove the cancerous tumor. The surgery was successful, but just a few months later, Mingming developed an autoimmune condition called IMHA, which caused her to become anemic and sick again. Fortunately, she did not need another blood transfusion and responded well to immunosuppressive therapy. Now, over two years later, Mingming is thriving and has not had a recurrence of her cancer or IMHA.